Manor Plaza Pediatric & General Medicine Inc.
NPI 1558657130 · Pediatrics Physician · Fort Lauderdale, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Manor Plaza Pediatric & General Medicine Inc. is a Pediatrics Physician organization in Fort Lauderdale, FL (NPI 1558657130).
Provider details
- NPI number
- 1558657130
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Helena Gaviria, Medical Director(954) 779-1667
- License
- ME0042195 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Manor Plaza Pediatric and General Medicine
- Doing business as
- Minor Plaza Pediatric and General Medicine
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Manor Plaza Pediatric & General Medicine Inc.'s NPI number?
- Manor Plaza Pediatric & General Medicine Inc.'s National Provider Identifier (NPI) is 1558657130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Manor Plaza Pediatric & General Medicine Inc.?
- Manor Plaza Pediatric & General Medicine Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Manor Plaza Pediatric & General Medicine Inc. located?
- Manor Plaza Pediatric & General Medicine Inc.'s practice location on file with NPPES is 1234 Ne 4th Ave Suite a, Fort Lauderdale, FL 33304-1925.
- What is Manor Plaza Pediatric & General Medicine Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Manor Plaza Pediatric & General Medicine Inc. is (954) 779-1667.
- Does Manor Plaza Pediatric & General Medicine Inc. accept Medicare?
- Manor Plaza Pediatric & General Medicine Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Manor Plaza Pediatric & General Medicine Inc.?
- The authorized official listed on Manor Plaza Pediatric & General Medicine Inc.'s NPPES record is Helena Gaviria, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Manor Plaza Pediatric & General Medicine Inc.'s NPI active?
- Yes — Manor Plaza Pediatric & General Medicine Inc.'s NPI (1558657130) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.